Personal Recommendation Form

Name of applicant:
In what capacity do you know the applicant?
How long have you known the applicant?
Please share with us your thoughts regarding this student. Comment specifically on her strengths and weaknesses and her ability to work with her peers and adults. What is your impression of her self-concept and her outlook on life?
Are there outside factors (i.e., family, physical needs, etc.) that we should know about this student? Please explain.
Please evaluate the candidate in relation to other young people with whom you have worked by checking the appropriate spaces below:
Thank you for your assistance. Please be assured that your comments will be given full consideration and will be treated confidentially.

601 South Church Street  |  Winston-Salem, NC  |  1-877-40SALEM